# LULA MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033368972
- **Authorized official:** DR. ERIC ROTH M.D. (PRESIDENT)
- **Authorized official phone:** (914) 235-1489

## Contact information

- **Practice address:** 178 ANCON AVE, PELHAM, NY 10803-2005
- **Practice address phone:** (914) 235-1489
- **Practice address fax:** (914) 235-1489
- **Mailing address:** 178 ANCON AVE, PELHAM, NY 10803-2005
- **Mailing address phone:** (914) 235-1489
- **Mailing address fax:** (914) 235-1489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 07/24/2025